Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.04 / $3,401.00 / $10,632.00	Facility		$465.04	$3,401.00	$10,632.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,938.72 / $1,938.72 / $1,938.72	Facility	50	$1,938.72	$1,938.72	$1,938.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.37 / $446.66 / $811.64	Professional		$135.37	$446.66	$811.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.05 / $190.05 / $519.77	Professional		$190.05	$190.05	$519.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.24 / $150.78 / $235.63	Facility		$143.24	$150.78	$235.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.93 / $348.72 / $1,042.24	Professional		$149.93	$348.72	$1,042.24
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $50.91 / $54.30 / $58.72	Facility		$50.91	$54.30	$58.72
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $182.57 / $369.92 / $724.81	Professional		$182.57	$369.92	$724.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $256.53 / $593.74 / $962.11	Professional		$256.53	$593.74	$962.11
United Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $1,916.00 / $4,970.00	Facility		$351.00	$1,916.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $471.72 / $691.86 / $1,255.67	Professional		$471.72	$691.86	$1,255.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.68 / $239.75 / $239.75	Professional		$104.68	$239.75	$239.75